Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.56 / $178.56 / $178.56	Facility		$178.56	$178.56	$178.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.35 / $171.75 / $178.56	Professional		$145.35	$171.75	$178.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $254.52	Facility		$166.23	$166.23	$254.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.75 / $297.75 / $372.19	Professional		$297.75	$297.75	$372.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.75 / $290.26 / $1,236.41	Facility		$171.75	$290.26	$1,236.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $160.15 / $274.61	Professional		$100.10	$160.15	$274.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $211.63 / $254.52 / $444.02	Facility		$211.63	$254.52	$444.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $214.17 / $258.08 / $486.38	Professional		$214.17	$258.08	$486.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $245.36 / $291.64	Professional		$209.58	$245.36	$291.64
United Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $134.66 / $256.98	Professional		$90.38	$134.66	$256.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $226.75 / $226.75 / $226.75	Professional		$226.75	$226.75	$226.75